75例Gore—Tex片作肺动脉右室流出道单瓣重建术后并发症的观察及护理
摘要
复杂先天性心脏病往往合并重度肺动脉瓣狭窄、发育不良或闭锁,已往外科修复采用跨瓣环补片加宽右心室流出道(RVOT),但解除RVOT狭窄的同时往往会导致肺动脉瓣返流,而长期肺动脉瓣返流可致右室容量及压力负荷增加,最终导致心律失常、运动耐力下降和心力衰竭。我科2002年6月至2011年11月对75例合并肺动脉狭窄或闭锁的先天性心脏病患者采用0.1mm厚的膨体聚四氟乙烯(Gore—Tex)片作肺动脉单瓣重建RVOT,取得了较好效果。现将术后早期并发症的观察及护理体会报告如下。
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